Richard B. Guttler, MD

1974-2016 private clinical thyroidologist Focus of practice is to find alternative methods to prevent unnecessary thyroid surgery. First was needle biopsies to decrease surgery on benign nodules, then molecular markers and classifiers during FNA needle washout to further decrease surgery on suspicious nodules.

Author on a major paper on the use of molecular markers during needle biopsies. Cross-trained in thyroid nuclear medicine, thyroid cytology, endocrine neck ultrasound, and interventional thyroidology, ethanol ablations for thyroid cancer lymph nodes and complex thyroid cystic nodules, and parathyroid cysts. Trained in Radiofrequency ablation for solid nodules but without FDA approval I liaison with RFA endocrinologists in Italy to see my patients with large solid nodules after my evaluation determines if they are candidates.

I also liaison with European echotherapy experts from France and Germany on their use of HIFU high intensity focus ultrasound for solid nodules instead of surgery. Have 40 years experience with thyroid cytology and have taught thyroid cytology for 6 years for American College of Endocrinology.